Diagnosis and management of small-bowel bleeding

被引：3

作者：

Pennazio, Marco ^{[1
]}

Valdivia, Pablo Cortegoso ^{[2
]}

Triantafyllou, Konstantinos ^{[3
]}

Gralnek, Ian M. ^{[4
,5
]}

机构：

[1] Univ Turin, City Hlth & Sci Univ Hosp, Univ Div Gastroenterol, Turin, Italy

[2] Univ Parma, Univ Hosp Parma, Gastroenterol & Endoscopy Unit, Parma, Italy

[3] Natl & Kapodistrian Univ Athens, Attikon Univ Gen Hosp, Med Sch, Dept Propaedeut Internal Med 2,Hepatogastroenterol, Athens, Greece

[4] Emek Med Ctr, Ellen & Pinchas Mamber Inst Gastroenterol Hepatol, Afula, Israel

[5] Technion Israel Inst Technol, Rappaport Fac Med, Haifa, Israel

来源：

BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY | 2023年 / 64-65卷

关键词：

Small-bowel; Small intestine; Capsule endoscopy; Enteroscopy; Bleeding; Mid-gut; DOUBLE-BALLOON ENTEROSCOPY; DEVICE-ASSISTED ENTEROSCOPY; VIDEO CAPSULE ENDOSCOPY; GASTROINTESTINAL ENDOSCOPY; EUROPEAN-SOCIETY; PERFORMANCE-MEASURES; FOLLOW-UP; METAANALYSIS; THERAPY; LESIONS;

D O I：

10.1016/j.bpg.2023.101844

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Small-bowel (SB) bleeding is a challenging problem for the clinician, presenting many pitfalls in both diagnosis and subsequent treatment. Videocapsule endoscopy (VCE) and device-assisted enteroscopy (DAE) have revolutionized the approach to the patient with SB bleeding, allowing for the endoscopic diagnosis and management of what was previously only a surgical matter. The patients' assessment in SB bleeding is of foremost importance, as treatment success relies on a detailed evaluation of clinical history, suspicion for underlying lesions, and a careful selection and timing of diagnostic and therapeutic tools. This review will summarize current state-of-the-art evidence and practice points, to provide the clinician with a comprehensive guide towards the management of SB bleeding.

引用

页数：7

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